Provider Demographics
NPI:1831922657
Name:JGHCOUNSELING
Entity type:Organization
Organization Name:JGHCOUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:707-363-6293
Mailing Address - Street 1:20885 REDWOOD RD # 420
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5915
Mailing Address - Country:US
Mailing Address - Phone:707-363-6293
Mailing Address - Fax:661-829-7301
Practice Address - Street 1:5184 CUNNINGHAM CT
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-2538
Practice Address - Country:US
Practice Address - Phone:707-363-6293
Practice Address - Fax:661-829-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty